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Dehydration can result from vomiting or diarrhea caused by GLP-1s

In order to ensure payment for new drugs and biologicals described by HCPCS code C9399 at 95 percent of their AWP, for CY 2023 and subsequent years, we finalized our proposal to exclude any drug or biological described by HCPCS code C9399 from packaging when the drug or biological is included on a claim with a J1 service, which is the status indicator assigned to a C-APC, and a claim with a J2 service, which is the status indicator assigned to comprehensive observation services

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